Z94.82 ICD-10-CM Code: Intestine transplant status
Z94.82 maps to CMS-HCC V28 77. A source-labeled RAF reference is available. Documentation must support MEAT. MEAT criteria · RAF Calculator · HCC Buddy coding tools
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FY 2026 Apr update / Factors influencing health status and contact with health services (Z00-Z99) / Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99)
Z94.82
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceIntestine transplant status
A person who has received an intestine transplant to restore digestive and nutritional function.
Buddy Insight
This code represents successful intestine transplantation with current organ function, indicating survival from intestinal failure but requiring complex immunosuppressive therapy and nutritional monitoring.
CMS-HCC V28
MappedHCC 77
Code-level coefficient reference
CMS-HCC V24
HistoricalHistorical
Not used for CY2026 payment
ACA/HHS
MappedHCC 041
Code-level coefficient reference
ESRD/PACE
MappedHCC 186
Code-level coefficient reference
RXHCC
MappedHCC 396
Code-level coefficient reference
Code Book Path
Inclusion Terms
OfficialICD-10-CM does not list inclusion terms for Z94.82 in this effective period.
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for Z94.82 in this effective period.
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for Z94.82 in this effective period.
Excludes 1
OfficialICD-10-CM does not list Excludes 1 notes for Z94.82 in this effective period.
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for Z94.82 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for Z94.82 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for Z94.82 in this effective period.
Buddy Documentation Tip
MEAT Support
Audit Caution
Common Mistakes
Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →
Is Z94.82 an HCC code?
Yes. Z94.82 (Intestine transplant status) maps to HCC 77, Intestine Transplant Status/Complications under the CMS-HCC V28 risk adjustment model, with a source-labeled community non-dual aged reference coefficient of 1.172. Source-labeled code-level coefficients are references, not member totals. Actual contribution depends on complete member context, hierarchy and cleanup rules, interactions, and model year. HCC Buddy's RAF Calculator supports CMS-HCC V28 PY2026 and shows no score unless every required source and calculation check passes. It is billable for payment year 2026.
Coder answer: Z94.82 is billable and maps to V28 HCC 77, Intestine Transplant Status/Complications. Open it in the Code Book for the tabular path, RAF, and MEAT checklist.
- Code
- Z94.82
- Description
- Intestine transplant status
- HCC (V28)
- HCC 77 — Intestine Transplant Status/Complications
- RAF reference coefficient
- 1.172
- Billable
- Yes
- Payment year
- 2026
HCC Category Mapping
These are source-labeled model coefficients, not member totals. A category may still be removed by hierarchy or model cleanup rules. Weights are not directly comparable across models: CMS-HCC V28 and V24 use Community, Non-Dual, Aged; ESRD uses the dialysis continuing-enrollee model; RxHCC is the Part D continuing-enrollee, non-low-income, aged weight (a larger scale than CMS-HCC). ACA/HHS has no single weight — it varies by metal level. Actual per-patient RAF contribution depends on member context, hierarchy and cleanup rules, interactions, and the model year used by the payer. V28 is the CMS-HCC model phased in over payment years 2024–2026; V24 remains available for historical review.
Work Z94.82 in the Code Book — tabular path, V28 RAF reference, and MEAT checklist →
MEAT Criteria for Z94.82
For Z94.82 to count as a valid HCC diagnosis in a given encounter, the provider's documentation must show MEAT: Monitor, Evaluate, Assess, or Treat. A diagnosis from a prior year does not carry forward automatically, it has to be re-documented and supported each calendar year.
- MMonitor: signs, symptoms, disease progression, or lab trending documented in the note
- EEvaluate: test results, medication response, or physical findings reviewed by the provider
- AAssess: explicit mention in the assessment or plan with acknowledgment of status
- TTreat: medication, referral, procedure, therapy, or counseling tied to the diagnosis
Only one of M/E/A/T is required to support the code, but the documentation must be specific enough to show that the provider actually addressed Z94.82 during that encounter, not just copy-forwarded from a problem list.
Coder workflow notes
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What This Code Means
Z94.82 is the ICD-10-CM diagnosis code for intestine transplant status. A person who has received an intestine transplant to restore digestive and nutritional function. Z94.82 sits in the ICD-10-CM chapter for factors influencing health status and contact with health services (z00-z99), within the section covering persons with potential health hazards related to family and personal history and certain conditions influencing health status (z77-z99).
Under the CMS-HCC V28 risk adjustment model, Z94.82 maps to Intestine Transplant Status/Complications (HCC 77) with a source-labeled community, non-dual, aged reference coefficient of 1.172. No V24 mapping is shown for Z94.82; use the applicable model and payment year when reviewing the V28 mapping. V28 is the CMS-HCC risk adjustment model that reached 100% phase-in for payment year 2026, replacing V24 which was used during the PY2024–PY2025 transition. Source-labeled code-level coefficients are references, not member totals. Actual contribution depends on complete member context, hierarchy and cleanup rules, interactions, and model year. HCC Buddy's RAF Calculator supports CMS-HCC V28 PY2026 and shows no score unless every required source and calculation check passes.
Use this status code during all follow-up visits for transplant recipients. Because Z94.82 maps to an HCC category, the provider's documentation must satisfy MEAT criteria (Monitor, Evaluate, Assess, or Treat) before the diagnosis is used for risk adjustment. When documentation is ambiguous, coders should issue a provider query rather than assume the highest-specificity variant.
HCC Buddy maintains structured V28 and V24 mapping, source-labeled coefficient references, and MEAT documentation criteria for Z94.82 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Use this status code during all follow-up visits for transplant recipients
- •May require documentation of immunosuppressive therapy and monitoring for rejection
Clinical Significance
This code represents successful intestine transplantation with current organ function, indicating survival from intestinal failure but requiring complex immunosuppressive therapy and nutritional monitoring. These patients have high risk for rejection, infection, and lymphoproliferative disorders.
Documentation Requirements
- ✓Confirmation of functioning intestine transplant
- ✓Type of intestinal transplant (small bowel, multivisceral)
- ✓Date of transplant if available
- ✓Current nutritional and absorptive status
- ✓Complex immunosuppressive regimen
- ✓Monitoring for rejection and complications
- ✓Specialized transplant follow-up
- ✓Original indication for transplant